Managing Hypertension Medications: When to Stop and Seek Help
Antihypertensive medications Hello Doctor: Last year, I discovered a heart issue during a health check-up, and after visiting the hospital, the doctor prescribed heart medication. However, I developed a persistent cough due to a cold (lasting for a month), so I consulted a differ...
Dr. He Dongjin Reply:
Hello, there's no need to rush into taking blood pressure medication. Let's keep a good record for a while and focus on stabilizing your cough first. Changhua Hospital cares about you.[Read More] Managing Hypertension Medications: When to Stop and Seek Help
Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Arrhythmia after weight loss Hello, Doctor! Since 2004, I have been taking antihypertensive medication (Cozaar + Concor 2.5 mg) for hypertension (approximately 140/90), and my blood pressure has been controlled around 120/80. At that time, I did not experience any arrhythmias or ...
Dr. He Dongjin Reply:
Hello, simple exercise for weight loss? Weight loss can help lower blood pressure. As for whether there is a correlation with arrhythmia, it's hard to say; it may be more likely due to anxiety causing symptoms. Whether it truly is premature contractions is uncertain without ...[Read More] Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Understanding Myocardial Infarction: Symptoms, Tests, and Risk Factors
Myocardial infarction Hello: I have a relative who passed away from a myocardial infarction, and last week I went to the hospital due to symptoms of chest pain and tightness. The doctor reviewed my electrocardiogram (ECG) and said my heart was fine, without scheduling any further...
Dr. He Dongjin Reply:
Hello, if you have a family history, please pay attention to controlling risk factors such as quitting smoking and managing the three highs: hypertension, hyperglycemia, and hyperlipidemia. If your resting electrocardiogram (ECG) shows no issues, but you still have concerns, you ...[Read More] Understanding Myocardial Infarction: Symptoms, Tests, and Risk Factors
Understanding Heart Pain, Shortness of Breath, and Dizziness Symptoms
Experiencing heart pain, shortness of breath, and dizziness? Hello doctor, I am usually a night owl and do not have a habit of exercising. I often experience shoulder and neck pain and stiffness. After one instance of staying up too late, I noticed that whenever I am too tired or...
Dr. He Dongjin Reply:
Hello, please stop staying up late. Your late nights have caused autonomic nervous system dysfunction, leading to the symptoms mentioned above, which do not appear to be related to heart issues or hypertension. Adjusting to a normal daily routine and engaging in regular exercise ...[Read More] Understanding Heart Pain, Shortness of Breath, and Dizziness Symptoms
Understanding Blood Pressure Issues: What Your Readings Mean
Blood pressure issues? Hello doctor, my blood pressure started to rise to an average of 120-150 last year. Is this a problem? In August of last year, I went for a cardiovascular check-up, and the report showed the following: - Creatine Kinase: 158 (high) - High-Sensitivity C-Re...
Dr. He Dongjin Reply:
Hello, based on the information you provided, it may be related to your anxiety and stress. It is recommended to simply observe your condition, adopt a low-sodium diet, engage in more physical activity, and relax. You have not reached true hypertension, so there is no need for me...[Read More] Understanding Blood Pressure Issues: What Your Readings Mean
Understanding Heart Palpitations: When to Seek Further Medical Advice
My heart is racing, but the hospital says everything is fine? Hello, I am 24 years old and have had issues with obesity and hypertension. Since June of last year (2015), I have been seeing a cardiologist who diagnosed me with hypertension. The doctor mentioned that my high blood ...
Dr. He Dongjin Reply:
Hello, it is likely caused by autonomic nervous system dysregulation. It is recommended to use some simple medications for improvement, such as 0.5 mg Bisoprolol or Cardiolol. Seasonal changes and weather may also have an impact. There is no need to worry; everything should be fi...[Read More] Understanding Heart Palpitations: When to Seek Further Medical Advice
Can Blood Pressure Medication Dosage Be Reduced Safely?
Can blood pressure medication be reduced? Dear Doctor, My uncle, Mr. Huang Ben-yao, is 61 years old and suffers from multiple conditions including diabetes, hypertension, and schizophrenia. I would like to know if it is possible to cut his hypertension medication, the round pill...
Dr. He Dongjin Reply:
Hello, it is recommended that you bring a complete record of your blood pressure to your outpatient appointment with Dr. Liao Wen-jun. The attending physician will adjust the medication based on your uncle's overall condition. The opinions of Dr. A or Dr. B may complicate th...[Read More] Can Blood Pressure Medication Dosage Be Reduced Safely?
Managing Sudden High Blood Pressure: Emergency Medications and Concerns
Medications for sudden spikes in blood pressure? <Background> A 60-year-old patient has been suffering from hypertension since the age of 40. In 2003, he underwent balloon angioplasty and stent placement due to acute myocardial infarction (AMI). His systolic blood pressure ...
Dr. He Dongjin Reply:
Hello, you are too nervous. Seeing high blood pressure can make you anxious, which keeps your blood pressure elevated. There's no need to go to the emergency room; just calm down and take bisoprolol and Xanax, then rest for a while. A slow heart rate is not a problem! A low ...[Read More] Managing Sudden High Blood Pressure: Emergency Medications and Concerns
How Breathing Compulsions Can Lead to High Blood Pressure and Heart Issues
Respiratory compulsions can lead to hypertension, palpitations, and dizziness? Hello Doctor, I have obsessive-compulsive disorder related to breathing, which causes my blood pressure to be very high every time I measure it. I would like to ask if this breathing-related OCD can le...
Dr. He Dongjin Reply:
Hello, obsessive-compulsive disorder related to breathing can lead to high blood pressure; however, the hypertension caused by this condition does not have a significant impact on the body. For example, during running or exercise, blood pressure may also rise, but it does not adv...[Read More] How Breathing Compulsions Can Lead to High Blood Pressure and Heart Issues
Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Is it normal? Hello doctor, I often feel dizzy, have difficulty breathing, and sometimes experience palpitations. My limbs are cold every day. My parents have a history of hypertension and hypotension. When I measured my blood pressure at the hospital, it was only 106/33. Is this...
Dr. He Dongjin Reply:
Hello, considering your age, this blood pressure is acceptable. However, if you frequently feel dizzy, short of breath, and sometimes experience palpitations, along with cold extremities every day, it may be related to autonomic nervous system dysfunction. It is advisable to visi...[Read More] Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Can Taking Blood Pressure Medications at Night Lower Morning Hypertension?
Taking blood pressure medication before bedtime can help reduce morning hypertension? Hello, Doctor. If I change my blood pressure medication (Atenolol) to take it before bedtime, will it help reduce the issue of elevated morning blood pressure during winter? Currently, I feel un...
Dr. He Dongjin Reply:
Hello, switching your blood pressure medication Atenolol to be taken at bedtime may help reduce morning hypertension during the winter. You may want to give it a try. Changhua Hospital cares about you.[Read More] Can Taking Blood Pressure Medications at Night Lower Morning Hypertension?
Understanding Angina: Symptoms, Severity, and What to Watch For
Angina pectoris? Hello: I have been diagnosed with hypertension, and recently I have been experiencing chest tightness and even a sensation like being pricked by a needle. The hospital conducted an electrocardiogram, and the doctor said I have angina. Is this condition serious? W...
Dr. He Dongjin Reply:
Hello, the sensation of being stabbed feels less like typical angina. It is advisable to undergo further examination, such as a stress electrocardiogram or a computed tomography coronary angiography, to clarify the cause. Changhua Hospital cares about your well-being.[Read More] Understanding Angina: Symptoms, Severity, and What to Watch For
Understanding Chest Pain: Is It Asthma or a Heart Issue?
Hello, regarding the issue of chest pain? Hello, I am 20 years old and have a family history of diabetes, hypertension, and cancer. I have experienced chest pain since I was 18, but it is infrequent, occurring about once every three months or every six months. However, when it do...
Dr. He Dongjin Reply:
Hello, young women often experience chest pain primarily due to mitral valve prolapse. Allergic asthma can also cause chest pain, although it is less common at this age. A family history of diabetes, hypertension, and cancer is likely unrelated. If you have concerns, it is advisa...[Read More] Understanding Chest Pain: Is It Asthma or a Heart Issue?
Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Cardiac issues? S: Improving chest tightness with palpitations for 1 week. No history of smoking, diabetes mellitus, or hypertension. O: Blood pressure 122/72, heart rate 99 bpm. HS: Systolic click over left sternal border. BS: Clear. Leg: No edema. T4: 8.07, TSH: 2.010...
Dr. He Dongjin Reply:
Hello, the records above are almost normal and unrelated to your symptoms. Consider adjusting the medication dosage. You can try taking both medications in the morning and evening. Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Unstable blood pressure? Hello doctor, I have been experiencing frequent palpitations, chest tightness, and dizziness, sometimes feeling like I might faint. I also have anxiety and panic, with my blood pressure being very unstable, reaching as high as 17X/12X, but sometimes dropp...
Dr. He Dongjin Reply:
Hello, your symptoms do not seem to resemble those of a pheochromocytoma; they are more likely related to autonomic nervous system dysfunction. It is advisable to consult a cardiologist for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han Reply:
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Sudden Pain and Bulging Veins in Foot: What You Need to Know
Sudden protrusion and pain in the veins of the foot? Hello Doctor: I suddenly experienced pain in my foot while sleeping at night. When I got up, I noticed a swollen and painful area on the top of my foot with prominent veins, and the pain has been persistent. Only my right foot ...
Dr. Li Han Reply:
Hello, based on your inquiry about sudden pain in the dorsum of the foot at midnight, along with the presence of prominent veins in the affected area, it is uncertain whether there is a correlation between the two. This description alone does not provide a complete picture, so I ...[Read More] Sudden Pain and Bulging Veins in Foot: What You Need to Know
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain or heart pain? Hello Doctor, I apologize for the interruption. I am a 35-year-old male, non-smoker and non-drinker, with a height of 170 cm and weight of 83 kg. I do not have hypertension, diabetes, or hyperlipidemia; my total cholesterol is 163 and triglycerides are 1...
Dr. Li Han Reply:
Hello Mr. Chen, regarding your statement, the clinical presentation does not resemble angina, and the objective non-invasive tests show no abnormalities. Regardless of the insignificant changes on the electrocardiogram, I personally suggest that you should not delve into the &quo...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Recognizing Heart Issues: When to Seek Medical Help for Chest Pain
How to differentiate? I have a history of hypertension, asthma, and peptic ulcers, and I occasionally experience sudden chest tightness and mild pain. Each time, the chest tightness is followed by significant soreness in my jaw and back, but after a few minutes, I feel completely...
Dr. He Dongjin Reply:
Hello, it is recommended that you undergo a thorough examination at the hospital when you are feeling well to rule out issues such as angina and to investigate the possibility of coronary artery vasospasm. Changhua Hospital cares about your health.[Read More] Recognizing Heart Issues: When to Seek Medical Help for Chest Pain
Can Angina Be Completely Cured? Understanding Treatment and Management
Can angina be completely cured? I would like to ask the doctor a few questions: 1. Can angina be completely cured? 2. If not, will I need to take medication for life to manage it? 3. During my last follow-up appointment, the doctor mentioned that I currently do not need to underg...
Dr. He Dongjin Reply:
Hello, first it should be confirmed whether it is angina. If it is not, then there is no concern regarding a cure. Currently, there is no need for coronary angiography; you should be fine and not overly anxious. Angina can potentially worsen, so controlling the three highs (hyper...[Read More] Can Angina Be Completely Cured? Understanding Treatment and Management